Dear Doctor,
I do read some article about the delay of HIV seroconversion due to Acute HCV infection at the same time the Delayed of anti-HCV antibody due to the caused by HIV. This is the link for HIV delay HCV antibody.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646374/.
1. My first exposed to protected vagina sex is 3 years ago and a year ago on oral sex less than 10 second. I have just done my 4th Generation HIV test= Negative. I do not know I have HCV or not. But I worry I have HCV that might have delay my antibody for my recent HIV test. Last week I have taken another Anti-HCV and HIV test. My concern is should I take HCV RNA(Qualitative) test too? To see if I have HCV infection in case if I have HIV that could have delay my Anti-HCV test.
2. Another concern I have is if my HCV RNA(Qualitative) test is Undetected(Negative) as refer to CDC that there is 15-25% of HCV infected people able to clear the virus by their own without treatment.
From this point if my Anti-HCV result is Negative(nonreactive) and HCV RNA(Qualitative) result is Not Detected(Negative), should I concern my Anti-HCV(Negative) result might be false negative due to the delay of antibody caused by HIV in the first place? (Assume I have both HCV and HIV before I took my 4th Generation HIV test)
3. My first exposed to protected vagina sex is 3 years ago and a year ago on oral sex less than 10 second. Should I take HIV RNA straight as it detect the virus straight away instead of antibody as seems like both HIV and HCV antibody may "Delay" each other. But I have seen CDC said that HIV NAT/RNA test might be "False Negative" in some people naturally decrease the amount of virus in their blood over time. My real concern is the HIV RNA test effective when my last exposure is a year and 3 years ago since CDC said some people might have virus decrease overtime?
I'm really stressed and worry, kindly answer my question and I trust you very much.